Provider Demographics
NPI:1003402660
Name:LINDY W. KITCHIN COUNSELING PLLC
Entity Type:Organization
Organization Name:LINDY W. KITCHIN COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KITCHIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:252-578-4344
Mailing Address - Street 1:138 ROUNDABOUT CT
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-3573
Mailing Address - Country:US
Mailing Address - Phone:252-578-4344
Mailing Address - Fax:
Practice Address - Street 1:138 ROUNDABOUT CT
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-3573
Practice Address - Country:US
Practice Address - Phone:252-578-4344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty